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Organization
UPMC CHAUTAUQUA AT WCA
Active
Organization
UPMC CHAUTAUQUA AT WCA
Active
Other names
The Woman's Christian Association of Jamestown NY, UPMC Chautauqua WCA
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DURNIOK (CEO)
(814) 676-7146
Entity
Organization
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 487-0141
Mailing address
PO BOX 840, 207 FOOTE AVE., JAMESTOWN, NY 14702-0840
(716) 485-7892
(716) 487-1802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03130985
—
NY
Enumeration date
08/28/2006
Last updated
10/09/2020
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